<form class="am-form dux-form  dux-form-right" action="{url('', ['action' => $action])}" method="post"
      data-dux="form-bind" data-advanced="false">
    <div class="am-input-group">
        <span class="am-input-group-label">所属银行</span>
        <select name="label" class="am-form-field">
            <!--loop{$bankList as $vo}-->
            <option value="{$vo.label}" {$vo.label==$info.label?'selected' : ''} >{$vo.name}</option>
            <!--{/loop}-->
        </select>
    </div>
    <div class="am-input-group">
        <span class="am-input-group-label">开户银行</span>
        <input type="text" class="am-form-field" placeholder="如:XXXX支行" name="account_bank" value="{$info.account_bank}">
    </div>
    <div class="am-input-group">
        <span class="am-input-group-label">银行卡号</span>
        <input type="text" class="am-form-field" placeholder="请输入银行卡号" name="account" value="{$info.account}">
    </div>

    <div class="am-input-group">
        <span class="am-input-group-label">开户姓名</span>
        <input type="text" class="am-form-field" placeholder="开户人姓名" name="account_name" value="{$info.account_name}(已绑定)" readonly>
    </div>
    <div class="am-input-group">
        <span class="am-input-group-label">开户电话</span>
        <input type="text" class="am-form-field" placeholder="开户电话" name="account_tel" value="{$info.account_tel}" >
    </div>


    <div class="am-input-group">
        <span class="am-input-group-label">验证方式</span>

            <select name="valtype" id="valtype" class="am-form-field">
                <option value="0">手机验证</option>
                <option value="1">邮箱验证</option>
            </select>

    </div>

    <div class="am-input-group">
        <span class="am-input-group-label">图片验证</span>
        <input type="text" class="am-form-field" placeholder="图片验证码" name="imgcode" id="imgcode">
        <span class="am-input-group-label">
                                <img src="{url('member/register/code')}" onclick="this.src ='{url(" member/register/code")}?'+Math.random()">
                    </span>
    </div>
    <div class="am-input-group">
        <span class="am-input-group-label">账号验证</span>
        <input type="text" class="am-form-field" placeholder="请输入验证码" name="code">
        <span class="am-input-group-label">
                        <button href="javascript:;" class="am-btn am-btn-sm am-btn-primary" data-dux="page-getCode"
                                data-url="{url('member/Real/getCode')}" data-field="valtype,imgcode" type="button">获取验证码</button>
                    </span>
    </div>

    <div class="am-padding">
        <div class="am-form-help">本银行卡用户账户提现等信息，请认真核对填写！</div>
        <div class="dux-br"></div>
        <button class="am-btn am-btn-primary am-btn-block" type="submit">
            保存银行卡
        </button>
    </div>
</form>